Provider Demographics
NPI:1245235373
Name:THOMAS, MILLARD BRADY III (MD)
Entity type:Individual
Prefix:
First Name:MILLARD
Middle Name:BRADY
Last Name:THOMAS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5418
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-5418
Mailing Address - Country:US
Mailing Address - Phone:336-625-2333
Mailing Address - Fax:336-625-5511
Practice Address - Street 1:132 W MILLER ST
Practice Address - Street 2:SUITE C
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4774
Practice Address - Country:US
Practice Address - Phone:336-626-3202
Practice Address - Fax:336-521-4923
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2017-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC34480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC82788OtherBLUE CROSS BLUE SHIELD
NC030462070OtherHEALTH CARE SAVINGS
NC1729735OtherFIRST HEALTH
NC0101810OtherUNITED HEALTH CARE
NC1368OtherCIGNA
NC53695OtherMEDCOST
NC8982788Medicaid
NC1729735OtherFIRST HEALTH
NCE93855Medicare UPIN
NC2162041GMedicare PIN